Organization Active NPI

Southeast Podiatry PC

  • Primary Podiatric Medicine Podiatrist
  • Fairhope, AL
National Provider Identifier
1467536763
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
SOUTHEAST PODIATRY PC
Practice address
23937 US Hwy 98 Ste 1
Fairhope, AL 36532
Phone
(251) 928-6768
Fax
(251) 928-0783
NPI assigned
Oct 24, 2006
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brent M Harwood, DPMNPI 1609869536
Title
Owner
Phone
(251) 928-6768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NU Primary

Addresses

Primary practice location

23937 US Hwy 98 Ste 1
Fairhope, AL 36532

Mailing address

23937 US Highway 98 Ste 1
Fairhope, AL 36532-3354
Phone (251) 928-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040727001037 FL Part B Supplier - Clinic/Group Practice 2264402346 Receives reassigned benefits from 1 practitioner
Practice locations: Gulf Breeze, FL; Milton, FL
O20050418000901 AL Part B Supplier - Clinic/Group Practice 2264402346 Receives reassigned benefits from 1 practitioner
Practice locations: Atmore, AL; Fairhope, AL
O20100930078411 AL DME Supplier - Physician - Podiatry 2264402346 Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Locations

610 Douglas Ave
Brewton, AL 36426
Phone (251) 928-6768

23937 US Highway 98
Fairhope, AL 36532
Phone (251) 929-0605

23937 US Highway 98
Ste 1
Fairhope, AL 36532
Phone (251) 928-6768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1467536763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23937 US HIGHWAY 98 STE 1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323354",
            "telephone_number": "251-928-6768",
            "fax_number": "251-517-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23937 US HWY 98 STE 1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-6768",
            "fax_number": "251-928-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-928-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.